European Journal of Biomedical and Pharmaceutical Sciences

BOWEL PROLAPSE A RARE COMPLICATION OF SEPTIC ABORTION: A CASE REPORT

*Dr. Deeba Khanam and Dr. Zehra Mohsin

ABSTRACT

Septic abortion is one of the greatest hazards to the woman’s health and that too illegally induced by locally practising unskilled health care providers can lead to life threatening complications. We present a case of 25 years old patient who presented to us with shock, abdominal distension and bowel hanging through the cervix, following induced abortion by a Dai. She was immediately resuscitated and was taken up for laprotomy. Per operatively it was seen that around 15 cm long part of large bowel was found to be necrosed and was entering a rent made at fundus of uterus. During the process of evacuation of the products of conception by local untrained individuals, a rent was made at the fundus and the bowel was pulled in to the uterine cavity and was seen hanging through the cervix.Necrosed part of bowel was removed and illeostomy was done. Post operatively the patient was given antibiotics and she recovered well. Though the bowel perforation is common in illegally induced abortions but this case is unusual for the reason that the whole bowel was pulled through the uterine cavity into the cervix.

Keywords: Septic Abortion, Fundus, Illeostomy, Perforation.